Providence Health System - Southern California

San Pedro, CA

Addresses

1 known revision on file.

Revision date	Added	Payer-specific rates
Apr 1, 2026	Sep 19, 2026	Yes

Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Providence Health System - Southern California’s price for it.

The codes Providence Health System - Southern California has the most pricing samples for.

Procedure
Pulmonary edema with respiratory failureMS-DRG 189	$17.2k	$21.8k	$15.2k	70%	564–636	$4.4k	$85.8k
Hospital stay for alcohol or drug dependence without rehabilitation therapyMS-DRG 897	$9.6k	$11.6k	$6.7k	58%	144–306	$2.3k	$41.2k
Sepsis or severe blood infection treated without ventilator support over 96 hours, with major complicationMS-DRG 871	$20.6k	$27.5k	$16.9k	61%	44–242	$9.5k	$116.7k
Psychiatric disorder inpatient stayMS-DRG 885	$14.3k	$18.4k	$12.1k	66%	33–231	$3.3k	$72.1k
Blood infection (sepsis) treatment without prolonged ventilator support or major complicationsMS-DRG 872	$11.8k	$15.5k	$11.2k	72%	19–190	$140	$72.1k
Hospital stay for esophagitis, gastroenteritis, or other digestive disorders without major complicationsMS-DRG 392	$10.6k	$12.6k	$7.2k	57%	10–100	$3.9k	$44.6k
Simple pneumonia or pleurisy hospital stay with a complicating conditionMS-DRG 194	$9.2k	$13.0k	$10.4k	80%	10–100	$1.8k	$65.2k
Heart failure or shock hospital stay with major complicationMS-DRG 291	$15.8k	$23.1k	$20.6k	89%	9–90	$6.0k	$115.9k
Diabetes hospital stay with a complicating conditionMS-DRG 638	$12.5k	$14.6k	$7.8k	54%	9–90	$6.1k	$51.5k
Simple pneumonia or pleurisy hospital stay with a major complication or comorbidityMS-DRG 193	$17.8k	$22.4k	$15.1k	68%	8–80	$12.9k	$92.6k

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EIN: 421672806

Last updated: Apr 1, 2026

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Hospital ID: d94650da238a7147c33a004bafa04d69dbb11287aa7e28fe89ebf5cdeca9e525